Provider Demographics
NPI:1285867218
Name:MANTELL, JONI (MSW, LCSW)
Entity Type:Individual
Prefix:MS
First Name:JONI
Middle Name:
Last Name:MANTELL
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 TREE FARM ROAD
Mailing Address - Street 2:IAC CENTER, SUITE A200
Mailing Address - City:PENNINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08534
Mailing Address - Country:US
Mailing Address - Phone:609-213-0977
Mailing Address - Fax:609-737-5951
Practice Address - Street 1:2 TREE FARM ROAD
Practice Address - Street 2:IAC CENTER, SUITE A200
Practice Address - City:PENNINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08534
Practice Address - Country:US
Practice Address - Phone:609-213-0977
Practice Address - Fax:609-737-5951
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-25
Last Update Date:2009-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC05190700104100000X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical